{"id":29109,"date":"2020-06-16T10:04:25","date_gmt":"2020-06-16T15:04:25","guid":{"rendered":"https:\/\/panamaadvisoryinternationalgroup.com\/blog\/?p=29109"},"modified":"2020-06-16T10:04:25","modified_gmt":"2020-06-16T15:04:25","slug":"pregnant-indigenous-women-panama-face-covid-19-fears-lack-transport","status":"publish","type":"post","link":"https:\/\/panamaadvisoryinternationalgroup.com\/blog\/pregnant-indigenous-women-panama-face-covid-19-fears-lack-transport\/","title":{"rendered":"Pregnant indigenous women in Panama face COVID-19 fears, lack of transport"},"content":{"rendered":"

\"\"<\/a><\/p>\n

For some communities, the nearest health centre is two days away. \u00a9 UNFPA Panama\/Osman Esquivel L\u00f3pez<\/figcaption><\/figure>\n
\n

GN\u00c4BE BUGL\u00c9 REGION, Panama \u2013 Carmen was two days into an excruciating labour when she was carried to the nearest health clinic \u2013 three hours away \u2013 in a hammock held aloft by community members.<\/p>\n

Her situation was life-threatening, but she had been unable to seek care earlier because transportation had been suspended due to the COVID-19 pandemic and rains had delayed travel by foot.<\/p>\n

\u201cThe population is very distant, days away from adequate care. There is no transportation,\u201d said \u00c1ngel Rodr\u00edguez, a nurse at the Soloy Health Centre, where Carmen was taken.<\/p>\n

In the end, Carmen was lucky. She safely delivered a healthy baby boy.<\/p>\n

But her situation is not unique. Many pregnant women have delayed or forgone obstetric care in the Ng\u00e4be Bugl\u00e9 region since the pandemic reached Panama, experts say.<\/p>\n

The region, largely populated by members of the Ng\u00e4be and Bugl\u00e9 indigenous communities, faces high rates of extreme poverty. Many communities are spread over difficult mountainous and riverine terrain. For many, the only form of transportation is via adapted 4×4 trucks that climb along rural roads \u2013 and even this option has been limited by the pandemic. For communities like Sardina, Susama or Piedras Rojas, in Kankint\u00fa, pregnant women have alarmingly few options when it comes to maternal health services and safe delivery care.<\/p>\n

\u201cWe tell women to avoid childbirth at home because if there is a complication, they would be far from health facilities,\u201d said Ana De Obald\u00eda, who works for UNFPA in the region. \u201cNow, the pandemic has further complicated the transport from their homes to health centres.”<\/p>\n

Gains at risk<\/strong><\/p>\n

UNFPA has been working with the Ng\u00e4be Bugl\u00e9 Health Region for 15 years to strengthen sexual and reproductive health care. These efforts have included raising awareness about the importance of maternal health care and safe childbirth services, as well as improving the cultural sensitivity of health professionals.<\/p>\n

These measures have worked. In recent years, the number of prenatal consultations and institutional deliveries has increased, health officials say.<\/p>\n

UNFPA also supports five casa maternas, or maternity waiting homes, in the region. These facilities are located near health facilities, and offer lodging and meals to women near their due date or experiencing high-risk pregnancies, helping to ensure swift access to obstetric care.<\/p>\n

But today, the hard-earned gains made by the community and the health system are being threatened.<\/p>\n

By 9 June, some 99 COVID-19 cases had been reported in the Ng\u00e4be Bugl\u00e9 Region. Fear of exposure to the virus and transport restrictions have limited women\u2019s use of health services.<\/p>\n

From January to April, 60 childbirths took place in the Soloy Health Clinic, compared to 105 for the same 2019 period. In the Hato Cham\u00ed Health Clinic, 50 child births took place, compared to 89 for the same period last year.<\/p>\n

A few women are still choosing to stay in the maternity waiting homes. Karina S\u00e1nchez, from Quebrada Guabo, says she chose to lodge at the Hato Cham\u00ed maternity facility “to be safer and closer to the hospital”.<\/p>\n

But the effects of the pandemic have made it harder to serve women who do come for lodging and care, says Tomasa Gonz\u00e1lez, who works at the facility. “They come here expecting to be taken care of, but we don’t have any food for them.”<\/p>\n

A staff member at the Soloy Maternity Centre had the same complaint: “There should be enough food available for the pregnant women coming here.\u201d<\/p>\n

Neither facility was at full capacity.<\/p>\n

Battling pandemic with information UNFPA continues to work closely with the health ministry to improve sexual and reproductive health services for pregnant women. UNFPA is also providing protective gear for health workers.<\/p>\n

And health workers are working closely with community members to prevent the spread of COVID-19, as well.<\/p>\n

Mariana Marcusi, a community health promoter from the San F\u00e9lix maternity facility, says it is common to see pregnant women wearing homemade facemasks. Ms. Marcusi encourages them to avoid large gatherings, as well. “I remind them that this is exactly how you can bring the coronavirus into your home.”<\/p>\n

Vannie Arrocha, with reporting from Osman de Esquivel<\/p>\n

Stay Safe!!<\/p>\n\n

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    For some communities, the nearest health centre is two days away. \u00a9 UNFPA Panama\/Osman Esquivel L\u00f3pez GN\u00c4BE BUGL\u00c9<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[242,12,241,39,248,34,33,62,42,219,11,249,243,7,246,244,262,260],"class_list":["post-29109","post","type-post","status-publish","format-standard","hentry","category-news-articles-panama-perpsective","tag-boca-chica-real-estate","tag-boquete","tag-boquete-real-estate","tag-buenaventura","tag-casco","tag-casco-antiguo","tag-casco-viejo","tag-coffee-in-panama","tag-estate-homes-in-panama","tag-move-to-panama","tag-offshore-real-estate","tag-panama-offshore-real-estate","tag-panama-papers","tag-panama-real-estate","tag-relocate-to-panama","tag-rum-in-panama","tag-safety-in-panama-panama-real-estate-bocas-del-toro","tag-travel-to-panama-rent-in-boquete"],"yoast_head":"\nPregnant indigenous women in Panama face COVID-19 fears, lack of transport - Blog and Newsletter<\/title>\n<meta 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